Notice of Privacy Practices
THIS NOTICE DESCRIBES HOW MEDICAL INFORMATION ABOUT YOU MAY BE USED AND DISCLOSED AND HOW YOU CAN GET ACCESS TO THIS INFORMATION. PLEASE REVIEW IT CAREFULLY.
Our pledge regarding medical information:
We understand that medical information about you and your health is personal. We are committed to protecting medical information about you. We create a record of the care and services you receive by our medical staff. We need this record to provide you with quality of care and to comply with certain legal requirements. This notice applies to all of the records of your care generated by Integrated Visiting Physician Solution, PC (IVPS).
This notice will tell you about the ways in which we may use and disclose medical information about you. We also describe your rights and certain obligations we have regarding the use and disclosure of medical information.
We are required by law to:
- Make sure that medical information that identifies you is kept private
- Give you this notice of our legal duties and privacy practices with respect to medical information about you
- Follow the terms of the notice that is currently in effect.
The following is a summary of the circumstances under which and purposes for which your health information may be used and disclosed:
- To Provide Treatment. We may use medical information about you to provide you with medical treatment or services. We may disclose medical information about you within our organization, such as your attending physician and other healthcare professionals or other personnel who are involved in your care. For example, obtaining personal health information for our clinicians prior to treating you. IVPS also may disclose your health care information to individuals outside of the organization involved in your care including family members, pharmacists, suppliers of medical equipment or other health care professionals.
- To Obtain Payment. We may use and disclose medical information about you so that the treatment and services you receive by IVPS may be billed to and payment may be collected from you, an insurance company or a third party. For example, we may need to give your health plan information about a treatment you received by us so your health plan will pay us or reimburse you for the treatment provided.
- To Conduct Health Care Operations. We may use and disclose medical information about you in order to aid the organization and ensure that all of our patients receive quality care. For example, we may use medical information to review our treatment and services and to evaluate the performance of our staff in caring for you. We may also combine medical information about many patients to decide what additional services IVPS should offer and what services are not needed. We may disclose information to doctors, nurses, technicians, and other non-health care professionals for review and learning purposes.
Treatment Alternatives. We may use and disclose medical information to tell you about or recommend possible treatment options or alternatives that may be of interest to you.
Health-Related Benefits and Services. We may use and disclose medical information to tell you about health-related benefits or services that may interest you.
For Appointment Reminders. IVPS may use and disclose your health information to contact you as a reminder that you have an appointment for a home visit.
Public Health Risks. We may disclose medical information about you for public health activities. These activities generally include the following:
- To prevent or control disease, injury, or disability
- To report births and deaths
- To report child abuse or neglect
- To report reactions to medication or problems with products
- To notify people of recalls of products they may be using
- To notify a person who may have been exposed to a disease or may be at risk for contacting or spreading a disease or condition
- To notify the appropriate government authority if we believe a patient has been the victim of abuse, neglect, or domestic violence. We will only make this disclosure if you agree or when required or authorized by law.
Worker’s Compensation. We may release medical information about you for worker’s compensation or similar programs. These programs provide benefits for work-related injuries or illness.
Health Oversight Activities. We may disclose medical information to a health oversight agency for activities authorized by law. These oversight activities include, for example, audits, investigations, inspections, and licensure. These activities are necessary for the government to monitor the health care system, government programs, and compliance with civil rights laws.
In Connection with Judicial and Administrative Proceedings. The organization may disclose your health information in the course of any judicial or administrative processing in response to an order of a court or administrative tribunal as expressly authorized by such order or in response to a subpoena, discovery request or other lawful process, but only when IVPS makes reasonable efforts to either notify you about the request or to obtain an order protecting your health information.
Law Enforcement. We may release medical information if asked to do so by a law enforcement official:
- In response to a court order, subpoena, warrant, summons or similar process.
- To identify or locate a suspect, fugitive, material witness, or missing person.
- About the victim of a crime, if under certain limited circumstances, we are unable to obtain the person’s agreement.
- About a death we believe may be the result of criminal conduct, including criminal conduct at the organization.
- In emergency circumstances to report a crime; the location of the crime or victims; or the identity, description or location of the person who committed the crime.
Coroners, Medical Examiners and Funeral Directors. We may release medical information to a coroner or medical examiner. This may be necessary, for example, to identify a deceased person or determine the cause of death. We may also release medical information about patients of IVPS to funeral directors as necessary to carry out their duties.
Your rights regarding medical information about you
You have the following rights regarding medical information we maintain about you:
Right to Inspect and Copy. You have the right to inspect and copy medical information that may be used to make decisions about your care. Usually, this includes medical and billing records, but does not include psychotherapy notes.
To inspect and copy medical information that may be used to make decisions about you, you must submit your request in writing to our Office Manager. If you request a copy of information, we may charge a fee for the costs of copying, mailing, or other supplies associated with your request.
Right to Amend. If you feel that medical information we have about you is incorrect or incomplete, you may ask us to amend the information. You have the right to request an amendment for as long as the information is kept by or for the organization.
To request an amendment, your request must be made in writing and submitted to our Office Manager. In addition, you must provide a reason that supports your request. We may deny your request for an amendment if it is not made in writing or does not include a reason to support the request. In addition, if you ask us to amend information that:
- Was not created by us, unless the person or entity that created the information is no longer available to make the amendment.
- We are unable to amend information that is not part of the medical information kept by or for the organization
- Not part of the information which you would be permitted to inspect or copy
- Is accurate and complete
Right to an Accounting of Disclosures. You have the right to request an accounting of disclosures. This is a list of the disclosures we made of medical information about you.
To request this list or accounting of disclosures, you must submit your request in writing to the Office Manager. The organization will provide the first accounting you request during any 12 month period at no charge. For additional lists, we may charge you for the costs involved and you may choose to withdraw or modify your request at that time, before any costs are incurred.
Right to Request Restrictions. You have the right to request a restriction or limitation in the medical information we use or disclose about you for treatment, payment or health care operations. You also have the right to request a limit on the medical information we disclose about you to someone who is involved in your care, like a family member or friend. For example, you could ask that we not use or disclose information about a procedure that you had.
We are not required to agree to your request. If we do agree, we will comply with your request unless the information is needed to provide you with emergency treatment.
To request restrictions, you must make your request in writing to our Office Manager.
In your request, you must tell us:
- What information you want to limit
- Whether you want to limit our use, disclosure or both
- Whom you want the limits to apply, for example, disclosures to a family member.
Right to a Paper Copy of This Notice. You have the right to a paper copy of this notice at any time, even if you have agreed to receive this notice electronically.
Changes to This Notice. We reserve the right to change this notice. We reserve the right to make the revised or changes notice effective for medical information that we already have about you as well as any information we receive in the future. If the organization changes this notice, we will provide a copy of the revised notice.
If you have any questions regarding this notice, please contact our Office Manager: